Active NPI
Christina Ann Ciccone, PHARMD
- Pharmacist
- Louisville, KY
National Provider Identifier
1598280430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 019382
- Practice address
- 6620 Bardstown Rd
Louisville, KY 40291-3045 - Phone
- (502) 231-1310
- Fax
- (502) 231-1827
- NPI assigned
- Aug 11, 2017
- Last updated
- Aug 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26027152A | IN | |
| Pharmacist | 183500000X | 019382 | KY | Primary |
Addresses
Primary practice location
6620 Bardstown Rd
Louisville, KY 40291-3045
Mailing address
8403 Tapestry Cir Unit 202
Louisville, KY 40222-8309
Phone (614) 315-3445
Other practice location 1
532 S 4th St
Louisville, KY 40202-2553
Phone (502) 434-3122
Other practice location 2
200 E Broadway
Louisville, KY 40202-2021
Phone (502) 568-4864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26027152A | IN | MD | Pharmacist |
| 019382 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
6620 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-1310
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1598280430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8403 TAPESTRY CIR UNIT 202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402228309",
"telephone_number": "614-315-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6620 BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402913045",
"telephone_number": "502-231-1310",
"fax_number": "502-231-1827"
}
],
"practiceLocations": [
{
"address_1": "532 S 4th St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402022553",
"country_code": "US",
"telephone_number": "502-434-3122",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 E Broadway",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402022021",
"country_code": "US",
"telephone_number": "502-568-4864",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CICCONE",
"first_name": "CHRISTINA",
"middle_name": "ANN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-11",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26027152A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "019382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.